CMS Formulary

Displaying 123861-123870 of 1611142 results.
ID: 123861
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 643488
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123862
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 404065
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123863
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123864
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 751871
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123865
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 751870
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123866
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 762007
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123867
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 751885
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123868
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 753481
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123869
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123870
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0